July 9, 2025
| This week’s payer news for healthcare leaders
The first-of-its-kind research suggests vertical consolidation is being driven by the potential for profits in nudging MA members to owned clinics, researchers said.
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CVS plans to appeal the judgment, which comes after a jury ruled that its long-term care pharmacy benefits manager illegally charged Medicare, Medicaid and Tricare for prescription drugs for almost a decade.
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President Donald Trump passed the GOP's tax megabill into law on Friday, setting into motion $1 trillion in Medicaid cuts despite objections from hospitals, doctors, insurers and other stakeholders in the healthcare industry.
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The insurer’s bid is preliminary and kicks off an auction for the debt-laden provider, which decided to pursue bankruptcy after discovering it owed Medicare hundreds of millions of dollars.
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UnitedHealth and Centene both pulled their outlooks this year over elevated medical spending in Medicare Advantage and the Affordable Care Act respectively. Now, cost pressures are hitting their smaller peer.
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The restraining order prevents the Trump administration from enacting a provision of the massive tax and policy law that would cut Medicaid funding for Planned Parenthood.
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